Download Maternal Newborn Nursing: Comprehensive Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!
ATI MATERNAL NEWBORN PROCTORED EXAM STUDY
SET 1 COMPREHENSIVE FREQUENTLY TESTED
QUESTIONS AND VERIFIED ANSWERS; GET IT 100%
ACCURATE; WITH MARKING SCHEME
Barrier methods: Diaphragm A client must be refitted by the provider every _______for a diaphragm or if they've gained more than______pounds, or if they've had a full term pregnancy or a second term abortion. - ANS-2 years More than 15 pounds When you use a diaphragm you must use ______which each act of coitus? And it must remain in placefor at least ________after intercourse. - ANS-spermicide w/each act of coitus 6 hours Warning signs/side effects of hormonal birth control use: - ANS-chest pain shortness of breathleg pain (possible clot) headacheeye problems
Hormonal oral contraceptives contraindications: - ANS--hx of blood clots-hx of stroke -hx cardiac problems-breast or estrogen related cancers -smoker-hypertension
Depo Provera can cause: - ANS-decreased bone density/calcium A client on Depo Provera should be instructed to: - ANS-increase daily intake of calcium What types of lubes should be used with latex condoms? - ANS-only water-soluble IUDs can increase the risk for: - ANS--pelvic inflammatory disease -ectopic pregnancy-uterine perforation
Women using an IUD need to be on the lookout for: - ANS--change in string length (IUD moved) -foul smelling discharge-pain w/intercourse -fever, chills Infertility is defined as: - ANS-the inability to conceive after trying for 12 months Infertility testing usually begins with: - ANS-the male, if it comes out normal then they move onto the female Any testing using a iodine dye you need to first: - ANS-ask for hx of allergy to shellfish presumptive signs of pregnancy: - ANS-(think things that can be explained by things other than pregnancy)-ammenorrhea -fatigue-nausea & vomiting -urinary frequency-quickening/fluttering -breast changes positive signs of pregnancy: - ANS--doctor notes fetal heart sounds -doctor/tech visualizes fetus through ultrasound probable signs of pregnancy: - ANS--abdominal enlargement-Haegar's sign (softening & compressability of uterus) -Chadwick's sign (bluish color of the cervix) -Goodell's sign (softening of the uterine tip)-Ballotment (rebound of the unengaged fetus) -Braxton-Hick's-positive pregnancy test -fetal outline felt by examiner Add 9 months and a week= - ANS-expected due date LMP is December 9, 2017, what is EDD? - ANS-September, 16th, 2018 GTPAL: G= - ANS-gravidity: number of times the woman has been pregnant, including current pregnancy GTPAL: T= - ANS-term: pregnancies that have gone to 38 weeks or more
- Fetal tone
- Amniotic fluid volume Normal BPP score= - ANS-8- Nonstress test measures: - ANS-fetal well being during the last trimester of pregnancy The Nonstress test (NST) is interpreted as reactive if the FHR is a _______baseline, with ______variability, accelerates to ___beats/min for at least ____seconds, and occurs ____or more timesduring a ____min period. - ANS--normal baseline -moderate variability-15 beats/min -15 seconds -two or more times-20 min period
Contraction Stress Test (CST) is done by: - ANS--nipple stimulation -oxytocin-pitocin
Positive CST is when late decels happen and it is... - ANS-NOT GOOD Amniocentesis is usually done around: - ANS-14 weeks Amniocentesis is checking for genetic abnormalities, by checking for AFP levels.High levels of AFP= Low levels of AFP= - ANS-high=neural tube defects low=down syndrome Amniocentesis also checks the LS ratio, which is testing for: - ANS-fetal lung maturity Complications/risks associated w/amniocentesis: - ANS--amniotic fluid emboli -hemorrhaging-infection -leaking of amniotic fluid -rupture of membranes-miscarriage
Test that can be done instead of amniocentesis and earlier is a CVS can be done at: - ANS-10-12 weeks Ectopic pregnancy - ANS-ovum is implanted outside of the uterus, often in the fallopian tube Unilateral stabbing pain and tenderness in the lower abdominal quadrants is the main sign/symptom of:- ANS-ectopic pregnancy
molar pregnancy main symptom: - ANS-dark brown vaginal bleeding that resembles prune juice
Placenta previa - ANS-placenta abnormally plants in the lower segment of the uterus above the cervix instead of being at the fundus Main symptom of placenta previa: - ANS-painless bright red vaginal bleeding in the 2nd or 3rd trimester abruptio placenta main symptom - ANS-sudden onset of intense localized uterine pain and dark red vaginal bleeding incompetent cervix - ANS-recurrent premature dilation of the cervix or cervical insufficiency If a woman is known to have an incompetent cervix, she will get a cerclage which helps keep the cervixclosed. It is removed when: - ANS--37 weeks of gestation is reached -spontaneous labor occurs Hyperemesis gravidarim (excessive vomiting past 12 wks gestation) interventions: - ANS--Iv fluids -admin of B6-antiemetic meds (reglan, zofran)
Iron deficiency anemia:Iron supplements are prescribed, advise the woman to take them with what? - ANS-vitamin C, so orange juice Testing for gestational diabetes occurs between: - ANS-24-28 weeks of gestation First test for testing for GDM is non fasting, it is the: - ANS-1 hour glucose tolerance test Gestational hypertension is caused by: - ANS-vasospasm caused by poor tissue perfusion After the 20th week of pregnancy, if a woman has a BP over 140/90 recorded at least twice, 4-6 hours apart, within a one week period of time: - ANS-positive for gestational hypertension Gestational hypertension has a high BP but no... - ANS-protein in the urine Mild preeclampsia: High BP and... - ANS-1+ protein in the urine Severe preeclampsia is categorized by: - ANS--over 160/ -3+ protein in the urine-creatinine levels > 1. -headache-blurred vision -epigastric pain-hyperreflexia
Eclampsia s/s: - ANS-same as severe, but with seizures HELP syndrome in eclampsia:H= E=
stage 1 of labor - ANS-starts with onset of labor until complete dilation at 10cm stage 2 of labor - ANS-starts with full dilation to the birth stage 3 of labor - ANS-starts with birth of baby to the delivery of placenta stage 4 of labor - ANS-starts with delivery of the placenta ends with vital sign normalization latent phase - ANS-0-3 cm dilation-talkative, eager
active phase - ANS-3-7 cm-restlessness, helplessness, anxious
transition phase - ANS-7-10 cm -can't go on, feels urge to push/poop epidural side effects: - ANS--maternal hypotension-fetal bradycardia
What is given before an epidural? - ANS-IV bolus of fluids to help counteract maternal hypotension Interventions for late decels: - ANS--assist to side-lying position-increase IV fluids -discontinue oxytocin-administer oxygen -notify provider Interventions for prolapsed umbilical cord: - ANS--call for help -insert sterile gloved hand to push head to take pressure off cord-saline soaked dressing/towel to cover
Rhogam should be administered within... - ANS-72 hours after birth for women who are Rh negative and their baby is Rh positive Immediately after delivery the fundus should be... - ANS-firm and at the umbilicus and approximately at the level of the umbilicus lochia rubra - ANS-bright red bleeding that occurs during day 1-3 after the women gives birth lochia serosa - ANS-Day 4-10 discharge, serosanguinus fluid lochia alba - ANS-Yellowish-white creamy discharge on Day 11-6 weeks postpartum Pain management after vaginal birth: - ANS--ice packs on the perineum -sitz bath Milk will start to come in...
Before that it will be... - ANS-2-3 days after birth colostrum (thicker, yellow-full of nutrients) Interventions for uterine atony due to distended bladder: - ANS-have them empty their bladder Dependent taking in phase - ANS--first 24-48 hrs -mom is eager to talk about birth experience-mom relies on others for help
Taking hold phase - ANS--begins on day 2-3 until the next few weeks -mom focused on baby care and mastering skills Letting go phase - ANS-mom is normalizing routine, getting back to being a partner, etc Breast engorgement interventions - ANS--cold compresses between feedings -warm shower prior to breastfeeding to promote milk-cold fresh cabbage leaves -mild analgesics Deep vein thrombosis - ANS-unilateral area of swelling, warmth, and tenderness on the leg-calf tenderness Pulmonary embolism s/s - ANS-chest paindifficulty breathing
postpartum hemorrhaging meds: - ANS-uterine stimulants to help uterus contract:-oxytocin, Pitocin -methergen, methylergnobin-Misoprostol, cytotec
mastitis - ANS-painful or tender localized hard mass, reddened area on the breast with flu like symptoms prevent mastitis: - ANS--air dry nipples -have baby take in entire nipple and areola-hand washing/clean breast -empty breast during each feeding The New Ballard Scale measures - ANS-the neuromuscular maturity (well flexed) and the physical maturity preterm infant skin will be... - ANS-thinner, almost transparent post mature infant skin will be... - ANS-crackled, leathery preterm babies will not have much or any ____________on their feet - ANS-plantar creases full term infant will have developed breast buds... - ANS-5-10mm in width
-twitching -weakness-lethargy -blood glucose under 40-eye rolling -seizures At 6 months of age the first food that we normally introduce is... - ANS-iron fortified cereals While breastfeeding uterine... - ANS-cramps are normal Babies that get enough nourishment should have how many wet diapers a day? - ANS-6- Breastmilk can be stored at room temp under clean conditions for up to... It can be refrigerated in sterile bottles but must be used by... It can be frozen for up to... Thaw frozen breastmilk in the fridge for... - ANS-8 hrs 8 days6-12 months 24 hours Formula can be refrigerated for up to... - ANS-48 hrs Most newborns in the first month or so sleep... - ANS-17 hours out of 24 umbilical cord care: - ANS--sponge baths until stump falls off -keep it dry and above diaper (fold it)-it should not have a foul odor, red color, or be moist
circumcision care, clamp procedure: - ANS--apply petroleum jelly w/each diaper change for at least 24 hrs after procedure-no tub bath until completely healed -yellow mucus film normal-don't rub it off -acetaminophen for pain-healed in a couple weeks
car seat safety: - ANS-rear facing car seat preferably in the middle of the backseat until age 2 macrosomic babies appearance: - ANS--peeling/cracked/dry skin-leathery skin -meconium staining on nails-long hair/nails
hyperbilirubinemia - ANS-elevated serum bilirubin levels, results in jaundice
kernicterus - ANS-form of brain damage from unresolved jaundice
